Start From Emergency Doctor

Chapter 485

The hospitalization fee is actually not expensive.

Different hospitals have different charges, but the hospitalization fee in most hospitals is actually only a few dozen yuan, and the cleaning fees for bed sheets, quilts, and pillows are only.

The hospital does not rely on hospitalization fees to repay the cost.

Therefore, those who are afraid of doctors asking patients to be hospitalized to increase their income are completely redundant. After hospitalization, it will not only increase the burden of doctors and nurses on ward rounds and nursing care, but also not have much money, which is thankless.

But even tens of dollars, Jiang Mai has to save.

Zhou Yuan moved his mouth and wanted to explain, but wanted Jiang Mai to do everything he could to maintain his dignity, but he didn’t say anything in the end.

“Prescribe him some anti-inflammatory drugs to prevent recurrence, pay more attention.” Zhou Yuan said.

After a pause, Zhou Yuan added: “We don’t have a lot of relief funds in our emergency department. Give Jiang Mai some subsidies. If the medicine is free, it will be free. It is a government subsidy.”

Zhang Ling nodded when she heard the words.

At this point, she probably guessed the reason.

“Which drugs are prescribed? Is there anything to be aware of?”

Zhang Ling took out a small notebook and prepared to write it down.

Zhou Yuan thought for a while, and said, “It depends on the situation. Let Jiang Mai come for an examination tomorrow. The result of examination 26 is the basis for the next chest drainage and this administration. If there is a large amount of effusion in the chest cavity, it is not absorbed. If you are satisfied or have symptoms of tuberculosis poisoning, give prednisone at a dose of 30 mg per day.

The amount of medicine is gradually reduced, and if the pleural fluid is significantly reduced or the symptoms of poisoning are relieved, it will be reduced to 20mg to 25mg per week. ”

Zhou Yuan still knows Jiang Mai’s situation very well.

Zhang Ling nodded, and then asked: “Sister Lu heard that Jiang Mai is your patient, and she also visited Jiang Mai. She asked me to ask you why you can’t give glucocorticoids.”

Zhou Yuan smiled helplessly.

Couldn’t Lu Chenxi come to ask herself, but Zhang Ling would like to convey it?

Speaking of it, Lu Chenxi is in thoracic surgery. If Zhou Yuan did not exist, Jiang Mai’s tuberculous pleurisy should indeed be handed over to the thoracic surgery, but Zhou Yuan has now robbed the patient…

“Although glucocorticoids can indeed target the condition of patients with tuberculosis pleurisy, there are too many side effects, and the main application is not recommended.”

“First is the problem of obesity. Obesity in glucocorticoid patients has a proper term, which is called centripetal obesity, which means that the fat is redistributed, and the muscles of the limbs are reduced and transferred to the trunk, which is our Hungarian, abdominal and back And so on.

If you are more imagery, glucocorticoid users will have a full moon face, buffalo back, etc. The face will become rounded, the belly will be bloated, and the back will be swollen.

Of course, the most terrifying thing is the increase in blood pressure, blood sugar and digestive ulcers.

Jiang Mai’s condition is very dangerous. There is a lot of pleural effusion. If blood pressure rises at this time, the pressure in the chest cavity will increase further, which may cause blood vessel bursts and other problems.

In addition, peptic ulcer means that there is a wound, and part of the digestive tract is close to the chest cavity. Once the inflammation of the thoracic cavity enters the blood through the wound, and then spreads to the whole body, the patient will not only have tuberculous pleurisy, but systemic. Inflammation, blood infection! ”

Zhang Ling became more frightened as she listened.(Read more @ wuxiax.com)

Sure enough, Zhou Yuan is still careful!

Although systemic inflammation is an extreme bad situation, it also has a chance to happen. Once it happens, it is a dead end!

If you really want to give glucocorticoids, there is a high probability that nothing will happen. After all, it is difficult to get so many bad things together. But the danger is not small, once you encounter the dangerous Jiangmairen, it will be gone!

“By the way, Sister He Jing also found me yesterday. Do you remember a patient named He Lili?”

Zhou Yuan nodded.

He was very impressed by He Lili.

This is his first obstetric operation in the true sense.

Mothers with grade 3 heart failure… This is killing her.

With this degree of heart failure, even emotional fluctuations may cause the heart to fail to bear the burden and collapse, not to mention strenuous activities such as giving birth!

However, in order to leave a child for his beloved husband, he resolutely gave birth despite everyone’s opposition.

The family couldn’t stop her who was forced to death, they could only make mistakes.

Fortunately, He Lili met Zhou Yuan. With the help of Zhou Yuan, he underwent a cardiac pacing operation, and Wei Lili, director of obstetrics department, performed a caesarean section, which ensured the safety of mother and child.

“What happened to He Lili?” Zhou Yuan asked.

“The child is three months old and wants to invite you to the banquet. He Lili’s family said that you are their savior.”

Zhou Yuan stayed for a while: “It’s been three months… However, the hospital is too busy. Recently, it is the end of the year. The flow of people and operations in the emergency department will increase. I don’t have time.”

Liquidation will be carried out at the end of the year, and the accumulated patients and operations must be completed with quality assurance.

Zhang Ling smiled sweetly, showing a premonitory expression, and said: “I knew you were a busy person! So Sister He Jing declined for you, and Sister He Jing asked me to tell you.”

Zhou Yuan laughed helplessly.

How could He Jing let Zhang Ling convey the news…

These one by one, sorry to see yourself?

By the way, after five days of coming back, Zhou Yuan had not had time to go to the obstetrics department to meet He Jing.

“Zhou Yuan, do you know why Sister He Jing stayed in our Yanjing Traditional Chinese Medicine Clinic?” Zhang Ling’s voice suddenly became quieter, and she said secretly.

Lin Wen next to him rolled her eyes helplessly, “Don’t talk nonsense!”

Zhang Ling pursed her mouth, “Why are you talking nonsense? Everyone guesses like that, OK!”

Lin Wen turned her head and ignored Zhang Ling.

Whatever you say, it has nothing to do with me anyway…

Zhang Ling smiled and said in a low voice: “I heard that Sister He Jing stayed for a man… guess who it is?”

Zhou Yuan said calmly: “I.”

Zhang Ling:…

Meow.

You don’t play cards according to the routine!

It shouldn’t be saying that I don’t know, and then I said it’s you, do you say it’s impossible with a shocked look on your face!

Why did you say it directly? !

Even if they knew it was themselves, normal people would not be embarrassed to say it was themselves!

Zhang Ling thought for a while, and finally stared at Zhou Yuan, and said, “You are not a normal person…”

Zhou Yuan smiled bitterly and shook his head, returned to the office, and packed up for a while to take over for the night shift.

The morning is the time for Zhou Yuan’s consultation, and his surgery is scheduled in the afternoon.

Unless it is a special situation, such as a major car accident that requires an urgent call to a doctor, or a patient that only Zhou Yuan can solve, Zhou Yuan will go to the operating table.

It is worth mentioning that Zhou Yuan’s surgery has been scheduled for one month according to the normal schedule…

In other words, if you want to follow the formal procedures of the hospital and want Zhou Yuan to perform surgery on himself, you have to wait at least a month! .